Literature DB >> 12500012

Cardiopulmonary compromise associated with milk and molasses enema use in children.

Melanie Walker1, Brad W Warner, Richard J Brilli, Brian R Jacobs.   

Abstract

OBJECTIVE: Constipation is a common childhood problem that frequently confronts pediatric practitioners. When enema treatment is indicated to treat constipation, milk and molasses enemas are sometimes used. Side effects and adverse outcomes have been described with many types of enemas, but not with milk and molasses. The purpose of this study is to describe five children who acutely decompensated after receiving milk and molasses enemas.
METHODS: Retrospective review of the medical records of children with constipation who received milk and molasses enema with subsequent PICU admission at Cincinnati Children's Hospital Medical Center between 1994 and 2000.
RESULTS: Five children developed significant hemodynamic deterioration after receiving milk and molasses enemas. One of these children died and the others recovered after aggressive resuscitation.
CONCLUSIONS: Milk and molasses enema administration can be associated with significant hemodynamic compromise. These risks appear similar to those risk observed with the use of other enema preparations.

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Year:  2003        PMID: 12500012     DOI: 10.1097/00005176-200301000-00028

Source DB:  PubMed          Journal:  J Pediatr Gastroenterol Nutr        ISSN: 0277-2116            Impact factor:   2.839


  3 in total

1.  A Comparison of the Efficacy of Enema Solutions in Pediatric Emergency Department Patients.

Authors:  Julie Anderson; Ronald A Furnival; Lei Zhang; Scott A Lunos; Zujaja Sadiq; Jonathan R Strutt; Rahul Kaila; Marissa A Hendrickson
Journal:  J Emerg Med       Date:  2019-10-05       Impact factor: 1.484

2.  Childhood constipation: evaluation and management.

Authors:  Dinesh S Pashankar
Journal:  Clin Colon Rectal Surg       Date:  2005-05

3.  Reducing hospital admissions of healthy children with functional constipation: a quality initiative.

Authors:  Mark Deneau; Ramakrishna Mutyala; David Sandweiss; Janet Harnsberger; Raghu Varier; John F Pohl; Lauren Allen; Callie Thackeray; Sarah Zobell; Christopher Maloney
Journal:  BMJ Open Qual       Date:  2017-10-12
  3 in total

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